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Tennessee rates for HCPCS 15260

Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; 20 sq cm or less

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $2,187.76 / $4,265.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $977.24 / $2,344.23
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $977.24 / $1,778.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $2,951.21 / $3,981.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,230.27 / $1,905.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,096.48 / $2,187.76
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $5,888.44 / $28,840.32
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,244.36 / $8,511.38 / $8,511.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $2,290.87 / $4,073.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,023.29 / $1,737.80